*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| D732 - Chronic congestive splenomegaly - as a primary diagnosis code | D732 - Chronic congestive splenomegaly - as a primary or secondary diagnosis code | |
|---|---|---|
| OUTCOMES | ||
| Avg. LOS | 6.31 | |
| Readmission Rate (%) | 30.53 | |
| Unplanned Readmission Rate (%) | NA | |
| Mortality Rate (%) | ||
| SNF Discharge Rate (%) | ||
| Home Discharge Rate (%) | ||
| PAYMENTS AND CHARGES | ||
| Total Medicare Payments | ||
| Payment Per Day | ||
| Payment Per Hospitalization | ||
| Total Medicare Charges | ||
| Avg. Charges | ||
| MARKET SIZING & INCIDENCE RATES | ||
| Total National Projected Hospitalizations - Annualized (Present on Admission - All) | ||
| Total Medicare Hospitalizations - Oct 2015 to Sep 2018 (Present on Admission - All) | ||
| Total National Projected Hospitalizations - Annualized (Present on Admission - Yes) | ||
| Total Medicare Hospitalizations - Oct 2015 to Sep 2018 (Present on Admission - Yes) | ||
| Total National Projected Hospitalizations - Annualized (Present on Admission - Not Y) | ||
| Total Medicare Hospitalizations - Oct 2015 to Sep 2018 (Present on Admission - Not Y) | ||
| Total Medicare Hospitalizations after Exclusion | ||
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 433: CIRRHOSIS AND ALCOHOLIC HEPATITIS WITH COMPLICATION OR COMORBIDITY (CC) | DRG 432: CIRRHOSIS AND ALCOHOLIC HEPATITIS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 871: SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 442: DISORDERS OF LIVER EXCEPT MALIGNANCY, CIRRHOSIS OR ALCOHOLIC HEPATITIS WITH COMPLICATION OR COMORBIDITY (CC) | DRG 441: DISORDERS OF LIVER EXCEPT MALIGNANCY, CIRRHOSIS OR ALCOHOLIC HEPATITIS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 34,515 | ||||
| Total Hospitalizations with ICD D732 - Chronic congestive splenomegaly | 155 | ||||
| DRG Share of Total Hospitalizations | 0.11 | ||||
| % of Total ICD D732 - Chronic congestive splenomegaly in DRG | 7.42 | ||||
| Avg LOS at DRG | 4.18 | ||||
| Avg LOS with ICD D732 - Chronic congestive splenomegaly | 4.05 | ||||
| Readmission Rate at DRG | 35.39 | ||||
| Readmission Rate with ICD D732 - Chronic congestive splenomegaly | 35.37 | ||||
| Unplanned Readmission Rate at DRG | 28.09 | ||||
| Unplanned Readmission Rate with ICD D732 - Chronic congestive splenomegaly | 28.57 | ||||
| Total Medicare payments at DRG | $218,331,747 | ||||
| Total Medicare payments with ICD D732 - Chronic congestive splenomegaly | $942,992 | ||||
| Total Medicare payment per Day at DRG | $1,513 | ||||
| Total Medicare payment per Day with ICD D732 - Chronic congestive splenomegaly | $1,504 | ||||
| Total Medicare payment per Hospitalization at DRG | $6,326 | ||||
| Total Medicare payment per Hospitalization with ICD D732 - Chronic congestive splenomegaly | $6,084 | ||||
| Total Medicare Charges at DRG | $1,184,008,123 | ||||
| Total Medicare Charges with ICD D732 - Chronic congestive splenomegaly | $5,384,584 | ||||
| Avg Charges at DRG | $34,304 | ||||
| Avg Charges with ICD D732 - Chronic congestive splenomegaly | $34,739 | ||||
| Mortality Rate at DRG | 0.79 | ||||
| Mortality Rate with ICD D732 - Chronic congestive splenomegaly | NA | ||||
| SNF Discharge Rate at DRG | 14.95 | ||||
| SNF Discharge Rate with ICD D732 - Chronic congestive splenomegaly | 18.06 | ||||
| Home Discharge Rate at DRG | 56.13 | ||||
| Home Discharge Rate with ICD D732 - Chronic congestive splenomegaly | 64.52 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 291: HEART FAILURE AND SHOCK WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 872: SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 682: RENAL FAILURE WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 378: G.I. HEMORRHAGE WITH COMPLICATION OR COMORBIDITY (CC) | DRG 392: ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 1,013,774 | ||||
| Total Hospitalizations with ICD D732 - Chronic congestive splenomegaly | 44 | ||||
| DRG Share of Total Hospitalizations | 3.08 | ||||
| % of Total ICD D732 - Chronic congestive splenomegaly in DRG | 2.11 | ||||
| Avg LOS at DRG | 5.34 | ||||
| Avg LOS with ICD D732 - Chronic congestive splenomegaly | 6.3 | ||||
| Readmission Rate at DRG | 28.25 | ||||
| Readmission Rate with ICD D732 - Chronic congestive splenomegaly | 28.57 | ||||
| Unplanned Readmission Rate at DRG | 21.93 | ||||
| Unplanned Readmission Rate with ICD D732 - Chronic congestive splenomegaly | 28.57 | ||||
| Total Medicare payments at DRG | $9,469,067,156 | ||||
| Total Medicare payments with ICD D732 - Chronic congestive splenomegaly | $453,030 | ||||
| Total Medicare payment per Day at DRG | $1,751 | ||||
| Total Medicare payment per Day with ICD D732 - Chronic congestive splenomegaly | $1,635 | ||||
| Total Medicare payment per Hospitalization at DRG | $9,340 | ||||
| Total Medicare payment per Hospitalization with ICD D732 - Chronic congestive splenomegaly | $10,296 | ||||
| Total Medicare Charges at DRG | $43,343,716,813 | ||||
| Total Medicare Charges with ICD D732 - Chronic congestive splenomegaly | $2,178,161 | ||||
| Avg Charges at DRG | $42,755 | ||||
| Avg Charges with ICD D732 - Chronic congestive splenomegaly | $49,504 | ||||
| Mortality Rate at DRG | 3.72 | ||||
| Mortality Rate with ICD D732 - Chronic congestive splenomegaly | NA | ||||
| SNF Discharge Rate at DRG | 20.84 | ||||
| SNF Discharge Rate with ICD D732 - Chronic congestive splenomegaly | NA | ||||
| Home Discharge Rate at DRG | 37.68 | ||||
| Home Discharge Rate with ICD D732 - Chronic congestive splenomegaly | 38.64 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 377: G.I. HEMORRHAGE WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 292: HEART FAILURE AND SHOCK WITH COMPLICATION OR COMORBIDITY (CC) | DRG 603: CELLULITIS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 981: EXTENSIVE O.R. PROCEDURE UNRELATED TO PRINCIPAL DIAGNOSIS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 809: MAJOR HEMATOLOGICAL AND IMMUNOLOGICAL DIAGNOSES EXCEPT SICKLE CELL CRISIS AND COAGULATION DISORDERS WITH COMPLICATION OR COMORBIDITY (CC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 190,819 | ||||
| Total Hospitalizations with ICD D732 - Chronic congestive splenomegaly | 30 | ||||
| DRG Share of Total Hospitalizations | 0.58 | ||||
| % of Total ICD D732 - Chronic congestive splenomegaly in DRG | 1.44 | ||||
| Avg LOS at DRG | 5.63 | ||||
| Avg LOS with ICD D732 - Chronic congestive splenomegaly | 5.67 | ||||
| Readmission Rate at DRG | 28.97 | ||||
| Readmission Rate with ICD D732 - Chronic congestive splenomegaly | NA | ||||
| Unplanned Readmission Rate at DRG | 22.07 | ||||
| Unplanned Readmission Rate with ICD D732 - Chronic congestive splenomegaly | NA | ||||
| Total Medicare payments at DRG | $2,165,853,817 | ||||
| Total Medicare payments with ICD D732 - Chronic congestive splenomegaly | $352,092 | ||||
| Total Medicare payment per Day at DRG | $2,015 | ||||
| Total Medicare payment per Day with ICD D732 - Chronic congestive splenomegaly | $2,071 | ||||
| Total Medicare payment per Hospitalization at DRG | $11,350 | ||||
| Total Medicare payment per Hospitalization with ICD D732 - Chronic congestive splenomegaly | $11,736 | ||||
| Total Medicare Charges at DRG | $10,686,431,125 | ||||
| Total Medicare Charges with ICD D732 - Chronic congestive splenomegaly | $1,588,544 | ||||
| Avg Charges at DRG | $56,003 | ||||
| Avg Charges with ICD D732 - Chronic congestive splenomegaly | $52,951 | ||||
| Mortality Rate at DRG | 5.35 | ||||
| Mortality Rate with ICD D732 - Chronic congestive splenomegaly | NA | ||||
| SNF Discharge Rate at DRG | 23.91 | ||||
| SNF Discharge Rate with ICD D732 - Chronic congestive splenomegaly | NA | ||||
| Home Discharge Rate at DRG | 39.51 | ||||
| Home Discharge Rate with ICD D732 - Chronic congestive splenomegaly | 56.67 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 812: RED BLOOD CELL DISORDERS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 853: INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURE WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 372: MAJOR GASTROINTESTINAL DISORDERS AND PERITONEAL INFECTIONS WITH COMPLICATION OR COMORBIDITY (CC) | DRG 194: SIMPLE PNEUMONIA AND PLEURISY WITH COMPLICATION OR COMORBIDITY (CC) | DRG 391: ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 201,938 | ||||
| Total Hospitalizations with ICD D732 - Chronic congestive splenomegaly | 21 | ||||
| DRG Share of Total Hospitalizations | 0.61 | ||||
| % of Total ICD D732 - Chronic congestive splenomegaly in DRG | 1.01 | ||||
| Avg LOS at DRG | 3.4 | ||||
| Avg LOS with ICD D732 - Chronic congestive splenomegaly | 5.19 | ||||
| Readmission Rate at DRG | 26.55 | ||||
| Readmission Rate with ICD D732 - Chronic congestive splenomegaly | NA | ||||
| Unplanned Readmission Rate at DRG | 21.29 | ||||
| Unplanned Readmission Rate with ICD D732 - Chronic congestive splenomegaly | NA | ||||
| Total Medicare payments at DRG | $1,046,791,335 | ||||
| Total Medicare payments with ICD D732 - Chronic congestive splenomegaly | $111,631 | ||||
| Total Medicare payment per Day at DRG | $1,523 | ||||
| Total Medicare payment per Day with ICD D732 - Chronic congestive splenomegaly | $1,024 | ||||
| Total Medicare payment per Hospitalization at DRG | $5,184 | ||||
| Total Medicare payment per Hospitalization with ICD D732 - Chronic congestive splenomegaly | $5,316 | ||||
| Total Medicare Charges at DRG | $5,572,284,000 | ||||
| Total Medicare Charges with ICD D732 - Chronic congestive splenomegaly | $745,936 | ||||
| Avg Charges at DRG | $27,594 | ||||
| Avg Charges with ICD D732 - Chronic congestive splenomegaly | $35,521 | ||||
| Mortality Rate at DRG | 0.31 | ||||
| Mortality Rate with ICD D732 - Chronic congestive splenomegaly | NA | ||||
| SNF Discharge Rate at DRG | 12.45 | ||||
| SNF Discharge Rate with ICD D732 - Chronic congestive splenomegaly | NA | ||||
| Home Discharge Rate at DRG | 66.72 | ||||
| Home Discharge Rate with ICD D732 - Chronic congestive splenomegaly | 76.19 |
| Hospital Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| MASSACHUSETTS GENERAL HOSPITAL | 55 FRUIT ST | BOSTON | MA | 02114 | 36 |
| LOYOLA UNIVERSITY MEDICAL CENTER | 2160 S 1ST AVE | MAYWOOD | IL | 60153 | 34 |
| REGIONAL MEDICAL CENTER | 400 E 10TH ST | ANNISTON | AL | 36207 | 18 |
| Physician Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| Dr. WILFREDO GRANA | 230 E 10TH ST STE 206 | ANNISTON | AL | 36207 | 13 |